Microsoft word - instructions for allergy patients.doc

INSTRUCTIONS FOR ALLERGY PATIENTS
Monday and Thursday
Building 1:00 - 4:30 pm
Maintenance 8:00 - 11:30 am/1:00 - 4:30pm
2. All allergy skin testing and allergy injections during the build up period are given only when a physician is in the office. This is for your safety.
Occasionally a reaction occurs which requires a doctor’s presence and
emergency treatment. You may wish to call our office to make sure a
doctor is present before coming in, especially if you are from out of town
or are leaving work to come. (Sometimes the doctor is out of town, in
surgery, or in the hospital emergency room.) Calling may save you time
and trouble.
3. It is our policy to give allergy injections in our office until a maintenance level has been reached. For your safety, we require you to wait twenty minutes after each injection while we are increasing your dosage of serum. When maintenance level has been reached, you may give the shots to yourself at home once a week or continue to get them in our office once a week. Maintenance level patients are not required to wait after an injection and a physician does not have to be present to receive an injection. 4. When you reach maintenance level, injections are usually given every seven days. Depending on your symptom improvement, after six to twelve months, you may be able to lengthen the interval between injections to ten to fourteen days. In a heavy allergy period, if you are having symptoms, you may give an injection every five days. 5. When you come in for an allergy injection please sign in and have a seat and wait for your name to be called. With our limited space, it is difficult to take more than one patient at a time in the allergy room. Please be patient, we will make every effort to get you in and out with as little waiting as possible. 6. Any time during your immunotherapy that you have questions about the process please ask us. Our doctors and nurses will be happy to answer your questions and see you as needed. 7. Patients on home therapy need to call our office before completely running out of allergy serum. Allergy vials are only mixed one day a week. You must call by Monday to receive a vial for that week. 8. Do not give yourself an injection if you have a fever, severe cough with discolored sputum, wheezing, tightness in your chest, or if you have missed your shot for three or more weeks. If in doubt, call the office for instructions. TO: Allergy patients taking injections at home. From: Anniston ENT When you receive your new allergy extract mixture vial, you should change your maintenance injections: One week later give second injection 0.20cc One week later give third injection 0.25cc Continue 0.25cc dosage weekly until vial is empty. Remember to call and reorder allergy extract before you are completely out. Vials are only mixed one day a week. You must call by Monday to receive a vial for that week. If you should have to see another physician for a non-allergy related problem you are ABSOLUTELY NOT PERMITTED to take any allergy injection if any of the following oral medications or eye-drops are prescribed and taken: Cartrol (Carteolol HCI), Corguard, Corzide (Nadolol), Beta Pace (Sotalol), Levatol, (Penbutolol), Visken (Pindolol), Inderal, Inderide LA (Propranolol), Blocadren (Timolol), Tenormin, Tenoretic (Atenolol), Brevibloc injection (Esmolol), Lopressor (Metoprolol), Sectral (Acebutolol), Trandate + HCT, Normodyne, Normozide (Labetolol), Kerlone, Betoptic (Betaxolol), Betagan Liquifilm (Levobumolol), and Timoptic, Timolide (Tomolol) and Ocupress (Carteolol). If any of these are prescribed to you please call our office. (256)236-4426

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